Departments of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston, IL, USA.
Am J Obstet Gynecol. 2012 Mar;206(3):261.e1-4. doi: 10.1016/j.ajog.2011.12.005. Epub 2011 Dec 16.
Determine whether depression screen results are consistent across successive pregnancies.
The Edinburgh Postnatal Depression Scale was administered in 2 successive pregnancies to 2116 women. A woman was "screen-positive" if she scored ≥ 12 at 24-28 weeks' or 6-weeks' postpartum. Screen-positive women were assessed by telephone and triaged by mental health professionals.
Most women (87.9%) were screen-negative in both pregnancies; 1.7% screened successively positive, 5.9% screened positive in only the first pregnancy; 4.5% screened positive in only the second pregnancy. Unpartnered, nonwhite, and publicly insured women were each likelier to screen positive in either or both pregnancies (P < .0001). Gestational age at delivery was significantly greater in women who never screened positive (P < .05). A majority (63%) of screen-positive women in both pregnancies reported no history of mood disorder.
There is sufficient variability in depression screening results between successive gestations to warrant screening during each pregnancy.
确定抑郁筛查结果在连续妊娠中是否一致。
对 2116 名女性进行了两次连续妊娠的爱丁堡产后抑郁量表评估。如果女性在 24-28 周或产后 6 周时得分≥12，则被认为“筛查阳性”。筛查阳性的女性通过电话进行评估，并由心理健康专业人员进行分诊。
大多数女性（87.9%）在两次妊娠中均为筛查阴性；1.7%连续筛查阳性，5.9%仅在第一胎妊娠中筛查阳性，4.5%仅在第二胎妊娠中筛查阳性。未婚、非白人、公共保险的女性在一次或两次妊娠中筛查阳性的可能性均更高（P<0.0001）。从未筛查阳性的女性的分娩时的胎龄显著更大（P<0.05）。两次妊娠中大多数（63%）筛查阳性的女性报告没有心境障碍病史。
连续妊娠之间的抑郁筛查结果存在足够的变异性，因此有必要在每次妊娠期间进行筛查。
